NP / PA
Georgetown Urgent Care PLLC
Georgetown Urgent Care PLLC was paid $5.01M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoGEORGETOWN URGENT CARE PLLC
GEORGETOWN, KY 40324
GEORGETOWN, KY 40324
33aNPI1780838847assigned 11/15/2008
33bProvider typeNurse Practitioner
28Total paid$5.01M
24GClaims157,360
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nurse Practitioner providers in Kentucky
Rank by total paid#10 of 260
Median peer was paid$89K
This provider vs. median56×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 14,157 | $439K | |
| 2019 | 14,373 | $476K | |
| 2020 | 15,446 | $512K | |
| 2021 | 25,639 | $919K | |
| 2022 | 37,094 | $1.12M | |
| 2023 | 32,982 | $964K | |
| 2024incomplete | 17,669 | $578K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 35,784 | 32,436 | $1.39M |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 21% | 25,079 | 22,912 | $1.04M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 16% | 11,952 | 11,604 | $817K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 10% | 36,820 | 17,351 | $521K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 10% | 9,131 | 8,612 | $518K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.1% | 14,699 | 13,985 | $206K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.0% | 5,613 | 4,921 | $152K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.6% | 3,045 | 2,925 | $131K |
| 87428 | 1.6% | 1,913 | 1,820 | $81K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.2% | 2,542 | 2,259 | $61K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.0% | 3,368 | 2,710 | $50K |
| 87807 | <1% | 1,491 | 1,400 | $17K |
18 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 91 | $7K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 171 | $4K |
| 81002 | <1% | 3,727 | $3K | |
| 81025 | <1% | 303 | $2K | |
| 95117 | <1% | 152 | $2K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 782 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 79 | $1K |
| 90658 | <1% | 77 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 120 | $917.18 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 103 | $869.52 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 15 | $798.30 |
| 73120 | <1% | 14 | $221.65 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 20 | $149.47 |
| A7006 | Administration set, with small volume filtered pneumatic nebulizer | <1% | 32 | $140.80 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 75 | $99.24 |
| 82947 | <1% | 12 | $49.01 | |
| 81003 | <1% | 131 | $24.21 | |
| 99000 | 0% | 19 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSODA, NAWAR (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Lexington Urgent Care PLLC | Lexington, KY | $16.74M |
| Berea Urgent Care LLC | Berea, KY | $4.83M |
| Man O War Urgent Care LLC | Lexington, KY | $2.96M |
| Medical Laser Center LLC | Berea, KY | $404K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.